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4260 Lodgepole Dr - Tie In Card a y .. EAGA.N TOWNSHIP 3795 Pilot Knob Road St. Paul, Minnesota 55111 Telephone 454 -5242 PERMIT FOR WATER SERVICE CONNECTION Date: Junes 28, 1y12 Number: 8 74 Billing Name: Pilsen Gonstruction Co Site Address: !s:-'60 Loa,„.1.0ie Ill'iv Owner: :. .to Billing Address Plumber: Location of Connection Meter Size Connection Chg.- %"- , d/c5/72 Meter No. Permit Fee lo. r. 1 /i8 /q2 Meter Reading Meter Dep. Meter Sealed: Yea Add'l Chg. y NO Total Chg. Inspected by Date uilding is a: Remarks: Residence :_c Multiple No, Units $25.00 RE INSPECTION FEE FOR 1 1J :! �irt_J tit LiL11J. Commercial Industrial By: Other Chief Inspector consideration of the issue and delivery to me of the above permit, I reby agree to do the proposed work in accordance with the rules and gulations of Eagan Township, Dakota County, Minnesota. BC notify the above office when ready for inspection and connection.